I recently received this question on "IBD"; which unfortunately is a very common disease in dogs and cats. Please see the question and my answer below.
Q. "Do you have any advice about how to cope with a cat who has
inflammatory bowel disorder and how to eventually get him off of steroids? My cat was diagnosed with IBD about a year
ago. During this time, he's been on
steroid doses ranging from 2 pills a day to half a pill every third day (and I
always transition gradually between dose sizes). I'd recently gotten him to half a pill every
3 days. Then he had a backslide, and how
he's back to 1 pill a day. He's living
fine with the disease, but he's had several instances of dropping weight and
losing appetite - he swings between 7
pounds and 8 pounds. Even at his
""healthy"" weight of 8 pounds, he's a skinny cat. He doesn't have extra weight to lose!
I've researched so many unique protein foods. He's currently on Hills z/d for dry food and
two types of wet food - Ziwi Peak venison and Addiction brushtail and
venison.
I also give him probiotics and shots of B12.
Any suggestions of other ways to manage this disease so that he doesn't
back-slide and so I can get him off the steroids?
Thank you!!!!
A.
Thanks for this important question. IBD (inflammatory bowel disease) is a
very common disease in dogs and cats.
IBD is characterized by inflammatory cells accumulating in the
intestine; leading to signs that include vomiting, diarrhea, and weight
loss. The cause of the disorder is
usually hard to identify; but common causes include food "allergy"
(to things like meat proteins, artificial colorings and preservatives in food)
and microbial infection (such as giardia and salmonella). IBD is suspected to
have a genetic component, as certain breeds have a higher incidence of certain
presentations.
In western medicine the most common medical treatments include the use of
anti-inflammatory medications (such as steroids); often combined with
antibiotics, antidiarrheal drugs and ideally a hypoallergenic diet.
This treatment can be effective at keeping the signs under control; but
clinical signs often flare up; and western medications alone rarely lead to a cure.
In my Chinese medical practice I have had great success with treating IBD.
I have found TCVM (traditional Chinese veterinary medicine) to be able to
nurture a patient's body, to restore health and prevent recurrence of disease
in a way that western medicine is often not able to do. You will notice the
western medical treatments include many medications that are "anti"
something. Western medicine is wonderful at killing invaders of the body and
treating "excess"; but it often overlooks the support of the body and
the underlying cause of the "excess". Western medicine lacks where
Chinese medicine excels; in allowing the body to heal itself and prevent
recurrence of problems.
Patients with IBD in my practice usually receive a series of acupuncture
and massage treatments, and often take customized herbal formulas to normalize
their stools, prevent nausea, and promote weight gain if needed. Since your cat is receiving vitamin B
injections; I would likely use "aquapuncture", and inject the vitamin
at acupuncture points for a synergistic effect.
I also almost always adjust the diet of a patient with IBD. In western
medicine we recognize that IBD patient's guts often react to certain
ingredients, and we therefore put these animals on special diets that exclude
these ingredients. In TCVM we take it a step further and customize the choice
of ingredients to the patient's particular imbalances. In Chinese medicine
every food is considered to have a unique effect on the body, and we use this
knowledge to use food as medicine. I
have had great success with simply modifying a patient's diet according to
Chinese medical principles with no other treatments to help patients with IBD.
When I see patients that are on western medications I usually leave them on
the meds until they have been stable and showing no clinical signs for weeks. I
then gradually taper them off the medications; while working closely with the
veterinarian that prescribed them. Remember,
western medications are very powerful and effective at getting rid of problems.
I strongly believe in using the best of everything available to us - western
medicine to quickly damper an out of control inflammatory reaction, and Chinese
medicine to balance the body to prevent it from coming back.
As far as "western" supplements go, a good place to start is with
digestive enzymes and a high quality probiotic (with multiple species and
billions of colonies of "good" bacteria and yeast) to help your pet
digest and assimilate his food. I especially like probiotic products that
contain "soil organisms”. Occasionally I see animals who do not respond well to probitics. In Chinese medicine probiotics are considered "dampening"; and often I find these animals have an excess "dampness" that must be addressed before probiotics will be helpful. You also must take care to be sure the probiotic does not contain dairy, wheat, corn, etc if your pet is on an elimination diet. For sympotm relief, enteric coated peppermint is a very safe and often effective herb. N-Acetylglucosamine (dose 50mg/pound body weight) is showing promise as a supplement which helps to preserve the intestinal mucosa and regulate inflammation.
Unfortunately, Chinese medicine is very patient - specific. There is not
one acupuncture plan or herbal prescription I can recommend to treat all
animals with IBD - the treatments are customized to each animal's unique
imbalances. I would highly recommend
making an appointment with a local veterinary acupuncturist to get your kitty
started on an integrative medicine plan.
With all this being said IBD is a
disease that veterinary acupuncturists commonly treat with great success. I
hope this helps; and please follow up with additional questions if you need.
Please
check with your veterinarian before changing anything in your pet’s health care
regime.
No information in this blog is meant to replace the advice of your veterinarian
